椎体钉前路手术治疗外伤性脊椎骨折脱位：（附18例报告）

我院自1985年4月起对胸段、胸腹段、腰 段脊柱骨折脱位18例(合并截瘫14例),经前路行椎管前方减压、复位、椎体钉内固定,椎体间植骨融合手术。经1～3年随访,效果良好,现报告如下。 临床资料 本组为外伤所致的胸腰椎屈曲型骨折脱位或爆裂型骨折。18例中,男13例,女5例;年龄18～45岁16例。其中完全性截瘫5例,不完全性截瘫9例,无神经症状的骨折脱位者4例。 损伤部位:T101例,T121例,L110例,L25例,L41例。 椎体压缩:按椎体高度,压缩程度分为四度,Ⅰ度2例,Ⅱ度2例,Ⅲ度12例,Ⅳ度2例。 前后脱位:按椎体移位占前后径的比例分为4度,Ⅰ度9例,Ⅱ度5例,…     

补中益气汤新用

通过用补中益气汤治疗风疹、胃脘痛、下颌关节脱臼、习惯性腰部软组织损伤等病,提出了补中益气汤的新用。     

双颌骨折颌间牵引继发关节脱臼和下颌骨移位

对于上下颌骨骨折骨段移位，先行手法复位下颌骨，再用颌间牵引复位上颌骨，恢复关系是广泛承认的治疗原则。如果忽视上颌骨骨折段的复位可移动性，作强行牵引，不仅不能复位上颌骨，反而可能导致下颌骨的错误移动，继发严重的并发症。本文通过典型病例就此问题进行讨论...     

名老中医苏宝恒诊治桡骨小头半脱位的经验

名老中医苏宝恒诊治桡骨小头半脱位的经验天津医院苏氏正骨门诊（３００２１１）王洪金，庞桂根桡骨小头半脱位，亦称＂牵拉肘＂。在其Ｘ线学诊断上，传统的方法是看桡骨干纵轴线向上延长是否通过肱骨小头中心（即划线法），来判断桡骨小头有无脱位。但此法容易受拍片时体...     

外伤致眼球脱臼一例

患者男18岁工人因左眼外伤后12小时,于2006年3月21日12时入院。患者于2006年3月20日凌晨1点醉酒后,左眼不慎被垃圾车操作杆撞伤。伤后即到当地医院就诊,行眼部CT检查敷料遮盖后转至我院治疗。入院     

外伤性眼球脱臼临床分析

目的探讨外伤性眼球脱臼的发病机制、临床表现和处理原则。方法外伤性眼球脱臼6例(6眼),其中眼球半脱臼5例,眼球全脱臼1例,进行临床分析。结果眼球半脱臼5例中,4例合并眶壁骨折,2例合并巩膜裂伤。5例均行巩膜伤口探查及眼球还纳术。术后除1例保留颞侧光感外,其余均无光感。眼球全脱臼者合并眶壁骨折,无法还纳,行眼球摘除术。结论外伤性眼球脱臼伤情复杂,可合并眶壁骨折和巩膜裂伤,预后差。     

Results of hip resurfacing for developmental dysplasia of the hip of Crowe type Ⅰ and Ⅱ

Background Recently, the new generation of metal-on-metal total hip resurfacing arthroplasty is well known for preserving the proximal femoral bone stock, minimizing the risk of postoperative dislocation using large femoral heads, and expecting low wear of metal-on-metal articulation for longer prosthesis survival. It also has the advantage in biomechanical loading in the proximal femur. The osteoarthritis secondary to developmental dysplasia of the hip （DDH） has been the most common reason for total hip arthroplasty. Most of the patients are young and active, who require improved range of motion of the hip besides relief of the pain, even expect to resume the ability to run and jump after the joint arthroplasty, thus to be allowed an active lifestyle. The objective of the current study was to evaluate the early outcome of resurfacing arthroplasty for the mild DDH cases （Crowe type Ⅰ and Ⅱ）. Methods Between September 2005 and May 2007, twenty-one consecutive patients （twenty-six hips） with the diagnosis of osteoarthritis secondary to DDH underwent metal-on-metal resurfacing arthroplasty. The average age at the time of surgery was 46.5 years （range, 37-59 years）. Six patients （28.6%） were male and fifteen （71.4%） were female. Clinical and radiographic results were observed. The follow-up was performed at 6 weeks, 3, 6, 9 months and then yearly. Results All patients were followed for a mean of 18 months （9-29 months）. During the follow-up period no complications, such as dislocation of hip joints, infection or femoral neck fracture occurred. The clinical outcomes, as rated with the Harris hip score, improved significantly compared with the preoperative ratings. The mean postoperative Harris hip score was 90.7, compared to 35.5 preoperatively. The radiographic analysis showed that all prostheses were fixed with no radiolucencies. All of the patients who had equal limb lengths preoperatively had equal lengths postoperatively. Of the nine patients with preoperative limb-length discrepan     

正畸综合治疗套皮圈引起的中切牙脱臼

在正畸临床上不断有因使用皮圈不当而引起前牙脱臼 ,甚至最终脱落。近年来也常有文献报道[1 3 ] 。大多数病例使用输液胶管剪成皮圈单独套入上中切牙来关闭正中间隙 ,当皮圈滑入牙根尖 ,致使牙槽骨压迫吸收 ,牙齿逐渐伸长 ,最终脱臼甚至脱落。尽管专家呼吁应禁止单独使用皮圈来关闭牙间隙 ,以防发生不良后果[4 ] 。但在一些基层单位仍屡发此类事故。以往临床医生对此类患者多以脱臼牙无法再保存治疗为由而将患牙拔除。近年来 ,我科尝试联合外科进行脱臼牙齿的保存治疗 ,取得了较好的疗效。一、研究对象和矫治方法1.研究对象 :收集近 3年来第…     

外伤性眼球脱臼伴视神经断裂1例

外伤、出血、肿瘤等眶压增高,驱使眼球向前脱出于睑裂之外,称为眼球脱位,亦称眼球脱臼。临床上眼球脱臼不常见,现将我院1例外伤致眼球脱臼伴视神经断裂报告如下。     

下颈椎脱位伴脊髓损伤的闭合复位

由于颈椎椎弓间上下小关节短小,关节面较胸腰椎更为水平,当外伤后颈椎极度前屈时容易产生下颈椎损伤,轻者未跨过关节顶端可自发复位,但常伴有脊髓部分或全部损伤,若暴力继续增加时,上一椎体下关节突骑跨过下一椎体的上关节突顶端,即呈关节脱位,交锁更易使脊髓损伤。脱位的脊椎很不稳定,可加重脊髓损伤,必须尽早复位,以求得脊柱的稳定。现将我院颈椎脱位闭合治疗方法简介如下: 1　术前准备 1.1无颅脑和胸腹复合伤,无昏迷,神志清,全身情况良好,血压平稳。 1.2争取在伤后1～2天内进行,最晚不得超过1周。 1.3　术前用药:安定10mg,若疼痛能忍受可…